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Tennessee rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.62 / $486.98 / $486.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.62 / $492.13 / $915.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.73 / $1,011.65 / $1,011.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.85 / $702.38 / $702.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $512.74 / $702.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,896.48 / $5,917.02 / $6,432.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,703.04 / $6,703.04 / $9,177.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.85 / $560.78 / $844.92